Ted L Morrison in Antonito - Physician Assistant
Ted L Morrison - NPI 1770573339
Ted L Morrison is a Physician Assistant in Antonito, Colorado. Ted L Morrison practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ted L Morrison is 1770573339. The last update date is 2011-06-10.
Ted L Morrison's current location address is Dahlia & 10th, Antonito, Colorado. You can contact this provider via phone number 7193765426 and fax number 7193765880. The mailing address for Ted L Morrison is Dahlia & 10th, Antonito, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted L Morrison |
|---|---|
| Address | Dahlia & 10th, Antonito, Colorado |
| Phone Number | 7193765426 |
| Fax Number | 7193765880 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1770573339 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2011-06-10 |
Provider Mailing Address Detail
| Address | Dahlia & 10th |
|---|---|
| City | Antonito |
| State | Colorado (CO) |
| Post Code | 81120 |
| Phone Number | 7193765426 |
| Fax Number | 7193765880 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 21 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 840706945083 | CO | ROCKY MOUNTAIN HEALTH PLA | |
| 970027929 | TRAVELERS MEDICARE |
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What is the unique identifier code issued to Ted L Morrison by the Centers for Medicare & Medicaid Services (CMS)?
The Ted L Morrison has been assigned the NPI (National Provider Identifier) 1770573339. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Ted L Morrison located?
The Ted L Morrison is located at Dahlia & 10Th, Antonito, CO 81120.
What is Ted L Morrison's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ted L Morrison's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770573339 to Ted L Morrison?
The Ted L Morrison received its 1770573339 assignment from the Centers for Medicare & Medicaid Services on 2005-10-25.
As of what date were the Ted L Morrison's details last updated?
The information pertaining to the Ted L Morrison, including its address, specialty, and other details, was most recently updated on 2011-06-10.